Characterization of Biliary Confluence Angle in Asian Population

Eman Abdul Rahman Mohammed Altai; Caroline Edward Ayad; Elsafi Ahmed Abdalla

doi:doi:10.11648/j.ajhr.20140202.17

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Characterization of Biliary Confluence Angle in Asian Population

Eman Abdul Rahman Mohammed Altai, Caroline Edward Ayad, Elsafi Ahmed Abdalla

Published in American Journal of Health Research (Volume 2, Issue 2)

Received: 26 February 2014 Accepted: 8 April 2014 Published: 10 April 2014

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Abstract

This study aimed to evaluate the morphological alterations in the biliary confluence angle of Asian population, describing the most frequent MR cholangiopancreatography (MRCP ) findings, evaluating the confluence angle in the cases of dilated and normal ducts, and to correlate the angle with the patients age, gender, nationality, height , weight and body mass index (BMI). The study was done in Suleiman Fakeh Hospital in Jeddah KSA, in the period from March 2011 up to May 2012. The sample was drawn from patients in both gender referred to MRCP imaging with different indications and was classified into two groups, the first group was patients with normal biliary ducts, the second group was patients with dilated biliary ducts . All examinations were done using MRI 1.5 Tesla, Siemens Avanto 2010, single shot fast spin echo (SSFSE). Protocol using coronal oblique images was applied where the angle was measured. Results showed that the most common MRCP findings were: distended gall bladder, gall stone, cholecystitis, cholecystectomy, liver cirrhosis, hepatomegaly, hepatic lesion, pancreatitis ,and pancreatic lesion. MRCP can evaluate the biliray confluence angle in dilated and normal ducts. No significant relation was found between the biliary confluence angle and the selected variables in both normal and dilated ducts, but a significant relation was detected with the age in patients with normal biliary ducts. Dependency upon the biliary confluence angle is not benifectual for diagnosis or prediction of diseases. A new equation for predicting the biliary confluence angle with the known Asian ages was established.

Published in	American Journal of Health Research (Volume 2, Issue 2)
DOI	10.11648/j.ajhr.20140202.17
Page(s)	73-77
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Bile Ducts, Cholangiopancreatography, MRCP

References

[1]	LauaM.Fayad,ThomasKowalski,DonaldG.Mitchell,2004.MR cholangiopancreatography: evaluation of common pancreatic diseases Magn Reson Imaging Clin N Am 12 651–668.
[2]	Nuray Haliloğlu, Ayşe Erden, İlhan Erden 2009. Normal Biliary Confluence Angle In Classical Junction Type: Assessment With MR CholangiopancreatographyAnkara Üniversitesi Tıp Fakültesi Mecmuası, 62(4)163-165.
[3]	Couinaud C. 1999. Liver anatomy: portal (and supra hepatic) or biliary segmentation. Dig Surg 16:459-467.
[4]	Kitami M, Takase K, Murakami G, Ko S,Tsuboi M, Saito H, Higano S, Nakajima Y,Takahashi S. 2006. Types and frequencies of biliary tract variations associated with a major portal venous anomaly: analysis with multi detector row CT cholangiography. Radiology 238:156-166.
[5]	Brant PE, Kopke-Aguiar L, Shigueoka DC, et al. 2008.Anicteric cholangiopathy in schistosomiasis patients.Acta Trop.;108:218–21.
[6]	Cheng YF, Huang TL, Chen CL, Chen YS,Lee TY. 1997. Variations of the intrahepatic bile ducts: application in living related liver transplantation and splitting liver transplantation. Clin Transplant 11:337-340.
[7]	Ohkubo M, Nagino M, Kamiya J, Yuasa N,Oda K, Arai T, Nishio H, Nimura Y. 2004. Surgical anatomy of the bile ducts at the hepatic hilum as applied to living donor liver transplantation. Ann Surg 239: 82-86.
[8]	Choi JW, Kim TK, Kim KW, Kim AY, Kim PN,Ha HK, Lee MG. 2003. Anatomic variation in intrahepatic bile ducts: an analysis of intraoperative cholangiograms in 300 consecutive donors for living donor liver transplantation. Korean J Radiol 4:85-90
[9]	Lee VS, Krinsky GA, Nazzaro CA, Chang JS,Babb JS, Lin JC, Morgan GR, Teperman LW. 2004. Defining intrahepatic biliary anatomy in living liver transplant donor candidates at Mangafodipir Trisodium- enhanced MR cholangiography versus conventional T2- weighted MR cholangiography. Radiology233:659-666.
[10]	Baillie J, Paulson EK, Vitellas KM. 2003, Biliary imaging: a review. Gastroenterol Clin N Am; 124:1686–99
[11]	Wallner B, Schumacher K, Weidenmaier W, et al. 1991.Dilated biliary tract: evaluation with MR cholangiography with a T2-weighted contrast-enhanced fast sequence. Radiology; 181:805–8
[12]	Chuah K B, Yap C K, Ng H S, 2001 .Extra hepatic Bile Duct Length in the Singapore Population, Singapore Med J Vol 42(4) : 165-169.

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APA Style

Eman Abdul Rahman Mohammed Altai, Caroline Edward Ayad, Elsafi Ahmed Abdalla. (2014). Characterization of Biliary Confluence Angle in Asian Population. American Journal of Health Research, 2(2), 73-77. https://doi.org/10.11648/j.ajhr.20140202.17

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ACS Style

Eman Abdul Rahman Mohammed Altai; Caroline Edward Ayad; Elsafi Ahmed Abdalla. Characterization of Biliary Confluence Angle in Asian Population. Am. J. Health Res. 2014, 2(2), 73-77. doi: 10.11648/j.ajhr.20140202.17

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AMA Style

Eman Abdul Rahman Mohammed Altai, Caroline Edward Ayad, Elsafi Ahmed Abdalla. Characterization of Biliary Confluence Angle in Asian Population. Am J Health Res. 2014;2(2):73-77. doi: 10.11648/j.ajhr.20140202.17

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@article{10.11648/j.ajhr.20140202.17,
  author = {Eman Abdul Rahman Mohammed Altai and Caroline Edward Ayad and Elsafi Ahmed Abdalla},
  title = {Characterization of Biliary Confluence Angle in Asian Population},
  journal = {American Journal of Health Research},
  volume = {2},
  number = {2},
  pages = {73-77},
  doi = {10.11648/j.ajhr.20140202.17},
  url = {https://doi.org/10.11648/j.ajhr.20140202.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20140202.17},
  abstract = {This study aimed to evaluate the morphological alterations in the biliary confluence angle of Asian population, describing the most frequent MR cholangiopancreatography (MRCP ) findings, evaluating the confluence angle in the cases of dilated and normal ducts, and to correlate the angle with the patients age, gender, nationality, height , weight and body mass index (BMI). The study was done in Suleiman Fakeh Hospital in Jeddah KSA, in the period from March 2011 up to May 2012. The sample was drawn from patients in both gender referred to MRCP imaging with different indications and was classified into two groups, the first group was patients with normal biliary ducts, the second group was patients with dilated biliary ducts . All examinations were done using MRI 1.5 Tesla, Siemens Avanto 2010, single shot fast spin echo (SSFSE). Protocol using coronal oblique images was applied where the angle was measured. Results showed that the most common MRCP findings were: distended gall bladder, gall stone, cholecystitis, cholecystectomy, liver cirrhosis, hepatomegaly, hepatic lesion, pancreatitis ,and pancreatic lesion. MRCP can evaluate the biliray confluence angle in dilated and normal ducts. No significant relation was found between the biliary confluence angle and the selected variables in both normal and dilated ducts, but a significant relation was detected with the age in patients with normal biliary ducts. Dependency upon the biliary confluence angle is not benifectual for diagnosis or prediction of diseases. A new equation for predicting the biliary confluence angle with the known Asian ages was established.},
 year = {2014}
}

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TY  - JOUR
T1  - Characterization of Biliary Confluence Angle in Asian Population
AU  - Eman Abdul Rahman Mohammed Altai
AU  - Caroline Edward Ayad
AU  - Elsafi Ahmed Abdalla
Y1  - 2014/04/10
PY  - 2014
N1  - https://doi.org/10.11648/j.ajhr.20140202.17
DO  - 10.11648/j.ajhr.20140202.17
T2  - American Journal of Health Research
JF  - American Journal of Health Research
JO  - American Journal of Health Research
SP  - 73
EP  - 77
PB  - Science Publishing Group
SN  - 2330-8796
UR  - https://doi.org/10.11648/j.ajhr.20140202.17
AB  - This study aimed to evaluate the morphological alterations in the biliary confluence angle of Asian population, describing the most frequent MR cholangiopancreatography (MRCP ) findings, evaluating the confluence angle in the cases of dilated and normal ducts, and to correlate the angle with the patients age, gender, nationality, height , weight and body mass index (BMI). The study was done in Suleiman Fakeh Hospital in Jeddah KSA, in the period from March 2011 up to May 2012. The sample was drawn from patients in both gender referred to MRCP imaging with different indications and was classified into two groups, the first group was patients with normal biliary ducts, the second group was patients with dilated biliary ducts . All examinations were done using MRI 1.5 Tesla, Siemens Avanto 2010, single shot fast spin echo (SSFSE). Protocol using coronal oblique images was applied where the angle was measured. Results showed that the most common MRCP findings were: distended gall bladder, gall stone, cholecystitis, cholecystectomy, liver cirrhosis, hepatomegaly, hepatic lesion, pancreatitis ,and pancreatic lesion. MRCP can evaluate the biliray confluence angle in dilated and normal ducts. No significant relation was found between the biliary confluence angle and the selected variables in both normal and dilated ducts, but a significant relation was detected with the age in patients with normal biliary ducts. Dependency upon the biliary confluence angle is not benifectual for diagnosis or prediction of diseases. A new equation for predicting the biliary confluence angle with the known Asian ages was established.
VL  - 2
IS  - 2
ER  -

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Author Information

Eman Abdul Rahman Mohammed Altai

Radiology Department, Dr Soliman Fakeeh Hospital-Al-Medina, Qurban, Saudi Arabia
Caroline Edward Ayad

Sudan University of Science and Technology, College of Medical Radiological Science, Khartoum, Sudan
Elsafi Ahmed Abdalla

Sudan University of Science and Technology, College of Medical Radiological Science, Khartoum, Sudan

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APA Style

Eman Abdul Rahman Mohammed Altai, Caroline Edward Ayad, Elsafi Ahmed Abdalla. (2014). Characterization of Biliary Confluence Angle in Asian Population. American Journal of Health Research, 2(2), 73-77. https://doi.org/10.11648/j.ajhr.20140202.17

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ACS Style

Eman Abdul Rahman Mohammed Altai; Caroline Edward Ayad; Elsafi Ahmed Abdalla. Characterization of Biliary Confluence Angle in Asian Population. Am. J. Health Res. 2014, 2(2), 73-77. doi: 10.11648/j.ajhr.20140202.17

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AMA Style

Eman Abdul Rahman Mohammed Altai, Caroline Edward Ayad, Elsafi Ahmed Abdalla. Characterization of Biliary Confluence Angle in Asian Population. Am J Health Res. 2014;2(2):73-77. doi: 10.11648/j.ajhr.20140202.17

Copy | Download

@article{10.11648/j.ajhr.20140202.17,
  author = {Eman Abdul Rahman Mohammed Altai and Caroline Edward Ayad and Elsafi Ahmed Abdalla},
  title = {Characterization of Biliary Confluence Angle in Asian Population},
  journal = {American Journal of Health Research},
  volume = {2},
  number = {2},
  pages = {73-77},
  doi = {10.11648/j.ajhr.20140202.17},
  url = {https://doi.org/10.11648/j.ajhr.20140202.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20140202.17},
  abstract = {This study aimed to evaluate the morphological alterations in the biliary confluence angle of Asian population, describing the most frequent MR cholangiopancreatography (MRCP ) findings, evaluating the confluence angle in the cases of dilated and normal ducts, and to correlate the angle with the patients age, gender, nationality, height , weight and body mass index (BMI). The study was done in Suleiman Fakeh Hospital in Jeddah KSA, in the period from March 2011 up to May 2012. The sample was drawn from patients in both gender referred to MRCP imaging with different indications and was classified into two groups, the first group was patients with normal biliary ducts, the second group was patients with dilated biliary ducts . All examinations were done using MRI 1.5 Tesla, Siemens Avanto 2010, single shot fast spin echo (SSFSE). Protocol using coronal oblique images was applied where the angle was measured. Results showed that the most common MRCP findings were: distended gall bladder, gall stone, cholecystitis, cholecystectomy, liver cirrhosis, hepatomegaly, hepatic lesion, pancreatitis ,and pancreatic lesion. MRCP can evaluate the biliray confluence angle in dilated and normal ducts. No significant relation was found between the biliary confluence angle and the selected variables in both normal and dilated ducts, but a significant relation was detected with the age in patients with normal biliary ducts. Dependency upon the biliary confluence angle is not benifectual for diagnosis or prediction of diseases. A new equation for predicting the biliary confluence angle with the known Asian ages was established.},
 year = {2014}
}

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TY  - JOUR
T1  - Characterization of Biliary Confluence Angle in Asian Population
AU  - Eman Abdul Rahman Mohammed Altai
AU  - Caroline Edward Ayad
AU  - Elsafi Ahmed Abdalla
Y1  - 2014/04/10
PY  - 2014
N1  - https://doi.org/10.11648/j.ajhr.20140202.17
DO  - 10.11648/j.ajhr.20140202.17
T2  - American Journal of Health Research
JF  - American Journal of Health Research
JO  - American Journal of Health Research
SP  - 73
EP  - 77
PB  - Science Publishing Group
SN  - 2330-8796
UR  - https://doi.org/10.11648/j.ajhr.20140202.17
AB  - This study aimed to evaluate the morphological alterations in the biliary confluence angle of Asian population, describing the most frequent MR cholangiopancreatography (MRCP ) findings, evaluating the confluence angle in the cases of dilated and normal ducts, and to correlate the angle with the patients age, gender, nationality, height , weight and body mass index (BMI). The study was done in Suleiman Fakeh Hospital in Jeddah KSA, in the period from March 2011 up to May 2012. The sample was drawn from patients in both gender referred to MRCP imaging with different indications and was classified into two groups, the first group was patients with normal biliary ducts, the second group was patients with dilated biliary ducts . All examinations were done using MRI 1.5 Tesla, Siemens Avanto 2010, single shot fast spin echo (SSFSE). Protocol using coronal oblique images was applied where the angle was measured. Results showed that the most common MRCP findings were: distended gall bladder, gall stone, cholecystitis, cholecystectomy, liver cirrhosis, hepatomegaly, hepatic lesion, pancreatitis ,and pancreatic lesion. MRCP can evaluate the biliray confluence angle in dilated and normal ducts. No significant relation was found between the biliary confluence angle and the selected variables in both normal and dilated ducts, but a significant relation was detected with the age in patients with normal biliary ducts. Dependency upon the biliary confluence angle is not benifectual for diagnosis or prediction of diseases. A new equation for predicting the biliary confluence angle with the known Asian ages was established.
VL  - 2
IS  - 2
ER  -

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